WAGAYA ASSISTED LIVING

905 ELM STREET, El Cerrito CA 94530

Facility 075601541 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Apr 8, 2026Licensed

Additional info
Licensee
KATSUMOTO, MINORU
Administrator
KATSUMOTO, MINORU
Contact
KATSUMOTO, MINORU
License first date
Apr 8, 2011
License effective date
Apr 8, 2011
District office
OAKLAND ASC · (510) 286-4201
Regional office
15
Clients served
935 - ELDERLY

Summary

The available records show 1 Type A and 16 Type B deficiencies for this facility.

Most recent inspection
Apr 8, 2026
Most recent deficiency
Apr 8, 2026

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 391 Contra Costa County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 1 Type A and 16 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
5

About the same as most this size

1 in the last 12 months

Recorded deficiencies
17

Well above the typical 3

5 in the last 12 months

Type A deficiencies
1

About the same as most this size

1 in the last 12 months

Type B deficiencies
16

Well above the typical 2

4 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
1

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Medication handling and storageType A
Official classification
Type A
Official code
87465(h)(2)
Regulation authority
CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply with the section cited above by having unlocked medication such as Omega-3, D3, Ibuprofen, laxative, Potassium, and Tussin DM cough and chest congestion in the residents common area, which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/09/2026 Plan of Correction By POC date, the Administrator agrees to purchase a lock for the cabinet that has medication inside and send a photo to CCLD. Administrator also agrees to conduct an In-Service training with all staff regarding unlocked medications and submit a copy of the sign-in sheet to CCLD by 4/15/2026.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing and administrationType B
Official classification
Type B
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

(c)The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that out of the 5 staff members, none of the staff members on duty had proof of CPR training in which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/22/2026 Plan of Correction By POC date, The Administrator agrees to schedule at least one staff member to receive CPR training and send the completion of the training to CCLD.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(c)(1)
Regulation authority
CCR

What the official deficiency says

7411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in that 0 out of 5 staff members did not have first aid certification on file which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/22/2026 Plan of Correction By POC date, The Administrator agrees to schedule all five (5) staff members to receive first aid training and send proof of the completion of the training to CCLD.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on file review, the licensee did not comply with the section cited above not having any fire drills conducted quarterly which poses a potential health and safety risk to the persons in care.

Official plan of correction

POC Due Date: 04/15/2026 Plan of Correction By POC date, the Administrator has agreed to conduct a fire drill and maintain a quarterly log and submit proof of this fire drill log to CCLD.

Plan of correction recorded
Correction not verified in available records
View official report
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87463(b)
Regulation authority
CCR

What the official deficiency says

87463 Reappraisals (b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident. This requirement is not met as evidenced by: Deficient Practice Statement Based on records review, the licensee did not comply with section above in that all six (6) residents did not have updated Appraisal Needs and Services Plans which poses a potential health and safety risks to persons in care.

Official plan of correction

POC Due Date: 04/15/2026 Plan of Correction By POC date, The Administrator agrees to complete updated Appraisal Needs and Services plans for all six (6) residents and send a self-certification letter to CCLD.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(c)
Regulation authority
CCR

What the official deficiency says

87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and records reviewed, the licensee did not comply with the section cited above in 2 out of 3 staff not having annual training which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/31/2025 Plan of Correction Administrator to review regulation, schedule training for staff, and provide proof with signatures to CCLD by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87412(a)
Regulation authority
CCR

What the official deficiency says

87412 Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and records reviewed, the licensee did not comply with the section cited above in 2 out of 3 staff records being incomplete which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/31/2025 Plan of Correction Administrator to review regulation, complete all staff records, and provide proof with signatures to CCLD by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Records and plan of operationType B
Official classification
Type B
Official code
87506(a)
Regulation authority
CCR

What the official deficiency says

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and records reviewed, the licensee did not comply with the section cited above in 6 out of 6 resident records being incomplete which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/31/2025 Plan of Correction Administrator to review regulation, complete all resident records, and provide proof with signatures to CCLD by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Licensing and administrationType B
Official classification
Type B
Official code
1569.618(c)(3)
Regulation authority
HSC

What the official deficiency says

(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in 3 out of 3 staff not having first aid and/or CPR which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/08/2023 Plan of Correction Administrator and staff to schedule first aid and CPR training, and provide proof to CCL by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Medical and dental careType B
Official classification
Type B
Official code
87465(a)(6)
Regulation authority
CCR

What the official deficiency says

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview, record review, the licensee did not comply with the section cited above in 6 out of 6 residents centrally stored medication records not being current and recorded which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/08/2023 Plan of Correction Administrator and staff to review the regulation 87465, update all residents' centrally stored medication records, and all staff self certify by signing and dating correction. This is to be submitted to CCL by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Medication handling and storageType B
Official classification
Type B
Official code
87465(h)(5)
Regulation authority
CCR

What the official deficiency says

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above in 6 out of 6 residents' medication that was prepared in advance and not updated on the medication administration records (MAR) which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/08/2023 Plan of Correction Administrator and staff to review the regulation 87465, update all residents' MAR's and all staff self certify by signing and dating correction. This is to be submitted to CCL by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Fire safety and emergency preparednessType B
Official classification
Type B
Official code
1569.695(c)
Regulation authority
HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, interview and record review, the licensee did not comply with the section cited above by not any performing any emergency disaster drills for the year of 2023 with staff and residents which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/12/2023 Plan of Correction Administrator shall conduct the first drill by POC date and continue disaster drills at least quarterly for each shift. Administrator and staff to review HSC 1569.695, update disaster log, and have all staff self certify by signing and dating correction. This is to be submitted to CCL by the POC date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(a)
Regulation authority
CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not meet this requirement, as one (1) upper cabinet and (1) lower kitchen cabinet are missing from the hinges, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 05/31/2022 Plan of Correction ADM to provide photo to CCLD on or before 05/31/2022.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87303(a)(1)
Regulation authority
CCR

What the official deficiency says

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not meet this requirement, as the dishwasher had leaked in the kitchen and a basin and towel were on the floor to capture the water, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 05/05/2022 Plan of Correction ADM removed basin and towel prior to LPA leaving on 05/05/2022.

Plan of correction recorded
Correction not verified in available records
View official report
Facility condition and maintenanceType B
Official classification
Type B
Official code
87307(d)(6)
Regulation authority
CCR

What the official deficiency says

(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not meet this requirement, as the passageway to the backyard has obstructions that include a refrigerator, washing machine, dishes, foam packaging, rice cooker and tree debris which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 05/26/2022 Plan of Correction ADM to provide photo to CCLD on or before 05/26/2022.

Plan of correction recorded
Correction not verified in available records
View official report
Food serviceType B
Official classification
Type B
Official code
87555(b)(21)
Regulation authority
CCR

What the official deficiency says

(b) The following food service requirements shall apply: (21) Freezers of adequate size shall be maintained at a temperature of 0 degree F (-17.7 degree C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degree F. (4 degree C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not meet this requirement, as the refrigerator has food and liquid spillage inside and dust on the bottom vents, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 05/09/2022 Plan of Correction ADM to provide photo to CCLD on or before 05/09/2022.

Plan of correction recorded
Correction not verified in available records
View official report
Food serviceType B
Official classification
Type B
Official code
87555(b)(29)
Regulation authority
CCR

What the official deficiency says

(b) The following food service requirements shall apply: (29) All equipment, fixed or mobile, and dishes, shall be kept clean and maintained in good repair and free of breaks, open seams, cracks or chips. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not meet this requirement, as the stove arm is broken, and stove top vents, refrigerator vents, oven, and refrigerator are not clean, which poses an immediate safety risk to persons in care.

Official plan of correction

POC Due Date: 05/12/2022 Plan of Correction ADM to provide photo to CCLD on or before 05/12/2022.

Plan of correction recorded
Correction not verified in available records
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology